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Interventional management of chronic pain
Glenice Nocom1, Kok Yuen Ho, Muralitharan Perumal
1Pain Management Centre, Singapore General Hospital, Singapore. glenicenocom@yahoo.com
Annals of the Academy of Medicine, Singapore
|March 10, 2009
Summary
Interventional pain management offers valuable diagnostic and therapeutic options for chronic non-cancer pain. Techniques include nerve blocks, neurodestructive procedures, neuromodulation, and intraspinal drug delivery.
Area of Science:
- Pain Medicine
- Neurosurgery
- Anesthesiology
Background:
- Chronic non-cancer pain is a widespread health issue impacting many individuals.
- Effective management strategies are crucial for improving patient quality of life.
Purpose of the Study:
- To review the available interventional procedures for managing chronic non-cancer pain.
- To assess the diagnostic and therapeutic utility of these interventions.
Main Methods:
- Comprehensive literature search using Medline database.
- Inclusion of references from published papers and book chapters.
- Review of procedures including nerve blocks, radiofrequency ablation, spinal cord stimulation, and intraspinal analgesics.
Main Results:
- Interventional techniques encompass a spectrum from diagnostic nerve blocks to therapeutic neuroablative and neuromodulatory approaches.
- Specific procedures discussed include selective nerve root blocks, facet joint injections, radiofrequency neuroablation, spinal cord stimulation, and intraspinal drug delivery systems.
- Evidence supports the value of these interventions in both diagnosing and treating non-cancer pain.
Conclusions:
- Interventional pain management provides a diverse range of options for chronic non-cancer pain.
- These procedures demonstrate significant diagnostic and therapeutic benefits.
- Further research may refine the application and efficacy of these techniques.
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